Acidosis
Acidosis, Lactic
Acidosis, Renal Tubular
A group of genetic disorders of the KIDNEY TUBULES characterized by the accumulation of metabolically produced acids with elevated plasma chloride, hyperchloremic metabolic ACIDOSIS. Defective renal acidification of URINE (proximal tubules) or low renal acid excretion (distal tubules) can lead to complications such as HYPOKALEMIA, hypercalcinuria with NEPHROLITHIASIS and NEPHROCALCINOSIS, and RICKETS.
Acid-Base Equilibrium
Bicarbonates
Hydrogen-Ion Concentration
Sodium Bicarbonate
Ammonium Chloride
MELAS Syndrome
A mitochondrial disorder characterized by focal or generalized seizures, episodes of transient or persistent neurologic dysfunction resembling strokes, and ragged-red fibers on muscle biopsy. Affected individuals tend to be normal at birth through early childhood, then experience growth failure, episodic vomiting, and recurrent cerebral insults resulting in visual loss and hemiparesis. The cortical lesions tend to occur in the parietal and occipital lobes and are not associated with vascular occlusion. VASCULAR HEADACHE is frequently associated and the disorder tends to be familial. (From Joynt, Clinical Neurology, 1992, Ch56, p117)
Carbon Dioxide
Diabetic Ketoacidosis
Hypercapnia
Alkalosis, Respiratory
Lactic Acid
Potassium Citrate
Phenformin
A biguanide hypoglycemic agent with actions and uses similar to those of METFORMIN. Although it is generally considered to be associated with an unacceptably high incidence of lactic acidosis, often fatal, it is still available in some countries. (From Martindale, The Extra Pharmacopoeia, 30th ed, p290)
Sodium-Hydrogen Antiporter
Ammonia
Sodium-Bicarbonate Symporters
Acids
Chemical compounds which yield hydrogen ions or protons when dissolved in water, whose hydrogen can be replaced by metals or basic radicals, or which react with bases to form salts and water (neutralization). An extension of the term includes substances dissolved in media other than water. (Grant & Hackh's Chemical Dictionary, 5th ed)
Hydrochloric Acid
Hypokalemia
Abnormally low potassium concentration in the blood. It may result from potassium loss by renal secretion or by the gastrointestinal route, as by vomiting or diarrhea. It may be manifested clinically by neuromuscular disorders ranging from weakness to paralysis, by electrocardiographic abnormalities (depression of the T wave and elevation of the U wave), by renal disease, and by gastrointestinal disorders. (Dorland, 27th ed)
Hyperkalemia
Abnormally high potassium concentration in the blood, most often due to defective renal excretion. It is characterized clinically by electrocardiographic abnormalities (elevated T waves and depressed P waves, and eventually by atrial asystole). In severe cases, weakness and flaccid paralysis may occur. (Dorland, 27th ed)
Fanconi Syndrome
A hereditary or acquired form of generalized dysfunction of the PROXIMAL KIDNEY TUBULE without primary involvement of the KIDNEY GLOMERULUS. It is usually characterized by the tubular wasting of nutrients and salts (GLUCOSE; AMINO ACIDS; PHOSPHATES; and BICARBONATES) resulting in HYPOKALEMIA; ACIDOSIS; HYPERCALCIURIA; and PROTEINURIA.
RNA, Transfer, Leu
Acid Sensing Ion Channels
Partial Pressure
Kidney
Dichloroacetic Acid
Nephrocalcinosis
Rumen
The first stomach of ruminants. It lies on the left side of the body, occupying the whole of the left side of the abdomen and even stretching across the median plane of the body to the right side. It is capacious, divided into an upper and a lower sac, each of which has a blind sac at its posterior extremity. The rumen is lined by mucous membrane containing no digestive glands, but mucus-secreting glands are present in large numbers. Coarse, partially chewed food is stored and churned in the rumen until the animal finds circumstances convenient for rumination. When this occurs, little balls of food are regurgitated through the esophagus into the mouth, and are subjected to a second more thorough mastication, swallowed, and passed on into other parts of the compound stomach. (From Black's Veterinary Dictionary, 17th ed)
Encyclopedias as Topic
Hypokalaemic paralysis revealing Sjogren syndrome in an elderly man. (1/246)
A 73 year old white man presented with life threatening hypokalaemic paralysis requiring admission to an intensive care unit. Biochemical investigations showed severe hypokalaemia with hyperchloraemic metabolic acidosis, a spot urine pH of 6.5, and a positive urinary anion gap, establishing the diagnosis of distal renal tubular acidosis. Autoimmune tests revealed Sjogren syndrome as the underlying cause of the distal renal tubular acidosis. Full recovery followed potassium and alkali replacement. This dramatic presentation of Sjogren syndrome has not previously been reported in an elderly man. (+info)The occurrence of renal involvement in primary Sjogren's syndrome: a study of 78 patients. (2/246)
OBJECTIVE: To ascertain the occurrence of renal involvement in patients with primary Sjogren's syndrome (pSS). METHODS: Urinary total protein excretion from 24 h urine collection, as well as urinary excretion rates of albumin, alpha-1 microglobulin (alpha1m) and IgG from overnight 8 h collections, were determined from 78 pSS patients (75 females, three males). Urine acidification capacity after oral ammonium chloride load was tested in 55 of these patients. RESULTS: Mild proteinuria (0.15-0.42 g/24 h) was observed in 34 patients (44%). Increased urinary excretion rates of albumin (>/=20 microgram/min), alpha1m (>/=7.0 microgram/min) or IgG (>/=5.0 microgram/min) were detected in nine (12%), nine (12%) and 11 patients (14%), respectively. Latent or overt distal renal tubular acidosis (dRTA) was observed in 18 out of 55 patients with pSS (33%). These patients had a longer duration of the disease (10+/-4 vs 8+/-4 yr; P+info)Autosomal recessive distal renal tubular acidosis associated with Southeast Asian ovalocytosis. (3/246)
BACKGROUND: A defect in the anion exchanger 1 (AE1) of the basolateral membrane of type A intercalated cells in the renal collecting duct may result in a failure to maintain a cell-to-lumen H+ gradient, leading to distal renal tubular acidosis (dRTA). Thus, dRTA may occur in Southeast Asian ovalocytosis (SAO), a common AE1 gene abnormality observed in Southeast Asia and Melanesia. Our study investigated whether or not this renal acidification defect exists in individuals with SAO. METHODS: Short and three-day NH4Cl loading tests were performed in 20 individuals with SAO and in two subjects, including their families, with both SAO and dRTA. Mutations of AE1 gene in individuals with SAO and members of the two families were also studied. RESULTS: Renal acidification in the 20 individuals with SAO and in the parents of the two families was normal. However, the two clinically affected individuals with SAO and dRTA had compound heterozygosity of 27 bp deletion in exon 11 and missense mutation G701D resulting from a CGG-->CAG substitution in exon 17 of the AE1 gene. Red cells of the two subjects with dRTA and SAO and the family members with SAO showed an approximate 40% reduction in sulfate influx with normal 4,4'-di-isothiocyanato-stilbene-2,2'-disulfonic acid sensitivity and pH dependence. CONCLUSION: These findings suggest that compound heterozygosity of abnormal AE1 genes causes autosomal recessive dRTA in SAO. (+info)Localization of a gene for autosomal recessive distal renal tubular acidosis with normal hearing (rdRTA2) to 7q33-34. (4/246)
Failure of distal nephrons to excrete excess acid results in the "distal renal tubular acidoses" (dRTA). Early childhood features of autosomal recessive dRTA include severe metabolic acidosis with inappropriately alkaline urine, poor growth, rickets, and renal calcification. Progressive bilateral sensorineural hearing loss (SNHL) is evident in approximately one-third of patients. We have recently identified mutations in ATP6B1, encoding the B-subunit of the collecting-duct apical proton pump, as a cause of recessive dRTA with SNHL. We now report the results of genetic analysis of 13 kindreds with recessive dRTA and normal hearing. Analysis of linkage and molecular examination of ATP6B1 indicated that mutation in ATP6B1 rarely, if ever, accounts for this phenotype, prompting a genomewide linkage search for loci underlying this trait. The results strongly supported linkage with locus heterogeneity to a segment of 7q33-34, yielding a maximum multipoint LOD score of 8.84 with 68% of kindreds linked. The LOD-3 support interval defines a 14-cM region flanked by D7S500 and D7S688. That 4 of these 13 kindreds do not support linkage to rdRTA2 and ATP6B1 implies the existence of at least one additional dRTA locus. These findings establish that genes causing recessive dRTA with normal and impaired hearing are different, and they identify, at 7q33-34, a new locus, rdRTA2, for recessive dRTA with normal hearing. (+info)NH4+ secretion in inner medullary collecting duct in potassium deprivation: role of colonic H+-K+-ATPase. (5/246)
NH4+ secretion in inner medullary collecting duct in potassium deprivation: Role of colonic H+-K+-ATPase. BACKGROUND: In K+ deprivation (KD), gastric (g) H+-K+-ATPase (HKA) is suppressed, whereas colonic (c) HKA is induced in the terminal inner medullary collecting duct (IMCD). We hypothesized that in KD, cHKA is induced and can mediate the secretion of NH4+. METHODS: Rats were sacrificed after 2, 3, 6, or 14 days on regular (NML) or K+-free (KD) diet. mRNA expression of HKA isoforms in terminal inner medulla was examined and correlated with NH4+ secretion in perfused IMCD in vitro. RESULTS: Urinary NH4+ excretion increased after K+-free diet for six days. In terminal inner medulla, cHKA expression was strongly induced, whereas gHKA expression was decreased. NH4+ secretion increased by 62% in KD (JtNH4+ 0.57 vs. 0.92 pmol/min/mm tubule length, P < 0.001). Ouabain (1 mM) in perfusate inhibited NH4+ secretion in KD by 45% (P < 0.002) but not in NML. At luminal pH 7.7, which inhibits NH3 diffusion, NH4+ secretion in IMCD was 140% higher in KD (0.36 vs. 0.15, P < 0.03) and was sensitive to ouabain. ROMK-1 mRNA expression was induced in parallel with cHKA in inner medulla. CONCLUSIONS: These data suggest that in KD, cHKA replaces gHKA and mediates enhanced secretion of NH4+ (and H+) into the lumen facilitated by K+ recycling through ROMK-1. (+info)Study of urinary acidification in patients with idiopathic hypocitraturia. (6/246)
Hypocitraturia (HCit) is one of the most remarkable features of renal tubular acidosis, but an acidification defect is not seen in the majority of hypocitraturic patients, whose disease is denoted idiopathic hypocitraturia. In order to assess the integrity of urinary acidification mechanisms in hypocitraturic idiopathic calcium stone formers, we studied two groups of patients, hypocitraturic (HCit, N = 21, 39.5 +/- 11.5 years, 11 females and 10 males) and normocitraturic (NCit, N = 23, 40.2 +/- 11.7 years, 16 females and 7 males) subjects, during a short ammonium chloride loading test lasting 8 h. During the baseline period HCit patients showed significantly higher levels of titratable acid (TA). After the administration of ammonium chloride, mean urinary pH (3rd to 8th hour) and TA and ammonium excretion did not differ significantly between groups. Conversely, during the first hour mean urinary pH was lower and TA and ammonium excretion was higher in HCit. The enhanced TA excretion by HCit during the baseline period and during the first hour suggests that the phosphate buffer mechanism is activated. The earlier response in ammonium excretion by HCit further supports other evidence that acidification mechanisms react promptly. The present results suggest that in the course of lithiasic disease, hypocitraturia coexists with subtle changes in the excretion of hydrogen ions in basal situations. (+info)Hypokalaemic paralysis. (7/246)
Hypokalaemic paralysis is a relatively uncommon but potentially life-threatening clinical syndrome. If recognised and treated appropriately, patients recover without any clinical sequellae. The syndrome of hypokalaemic paralysis represents a heterogeneous group of disorders characterised clinically by hypokalaemia and acute systemic weakness. Most cases are due to familial or primary hypokalaemic periodic paralysis; sporadic cases are associated with numerous other conditions including barium poisoning, hyperthyroidism, renal disorders, certain endocrinopathies and gastrointestinal potassium losses. The age of onset, race, family history, medications, and underlying disease states can help in identifying the cause of hypokalaemic paralysis. Initial therapy of the patient with hypokalaemic paralysis includes potassium replacement and search for underlying aetiology. Further management depends on the aetiology of hypokalaemia, severity of symptoms, and duration of disease. This review presents the differential diagnosis for hypokalaemic paralysis and discusses management of the syndrome. (+info)Renal involvement in primary Sjogren's syndrome. (8/246)
Renal involvement was evaluated in 62 patients with primary Sjogren's syndrome, classified according to criteria proposed by The European Classification Criteria Group. Urine concentration capacity was tested using intranasal 1-desamino-8-D-arginine-vasopressin. For patients with urine pH>5.5 without metabolic acidosis (n=28), an acidification test with ammonium chloride was performed. Urinary citrate, albumin, NAG, ALP and beta2-microglobulin were measured and creatinine clearance was calculated. Maximum urine concentration capacity and creatinine clearance were reduced in 13 (21%). Albumin excretion was >30 microg/min in only one patient (1.6%). Seven patients (11.3%) had complete or incomplete distal renal tubular acidosis (dRTA), four had reduced creatinine clearance and five had reduced maximum urine concentration capacity. The ratio of citrate/creatinine in spot urine was below the 2.5 percentile in all patients with complete or incomplete dRTA. The prevalence of dRTA was lower than in previous studies. There were also few patients with signs of glomerular disease (1.6%). The use of citrate:creatinine ratio in spot urine can be a helpful method in identifying patients with complete or incomplete dRTA. (+info)
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Renal tubular acidosis, food allergy, IgA and IgG deficiency in Mexican children | Clinical and Translational Allergy | Full...
Glue-sniffing and distal renal tubular acidosis: sticking to the facts. | American Society of Nephrology
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A Novel Mutation in the Anion Exchanger 1 Gene Is Associated With Familial Distal Renal Tubular Acidosis and Nephrocalcinosis |...
Renal Tubular Acidosis with Hypokalaemic Paralysis and Nephrolitiasis [Medeniyet Med J]
Renal tubular acidosis and osteopetrosis with carbonic anhydrase II deficiency: pathogenesis of impaired acidification
Overview: What is primary distal renal tubular acidosis? | ThinkGenetic
Renal tubular acidosis with deafness - NORD (National Organization for Rare Disorders)
Failure to thrive in children with primary distal type renal tubular acidosis<...
Severe metabolic alkalosis due to diuretic treatment in a patient with distal renal tubular acidosis: a rare association
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Autosomal Dominant Distal Renal Tubular Acidosis Overview | MediFind
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Renal Tubular Acidosis (RTA)-Causes-Types-Diagnosis-Treatment-Complications
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The Diet Pill and the Deadly Acidosis - Renal Fellow Network
Influence of Polymorphisms in the ATP6V1 Gene of the V-ATPase on the Development of Incomplete Distal Renal Tubular Acidosis -...
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Renal tubular acidosis - Wikipedia
Renal Tubular Acidosis
Sjögren syndrome presenting with hypopotassemic periodic paralysis due to renal tubular acidosis - Get your full text copy in...
Renal Tubular Acidosis (RTA) - Kidney and Urinary Tract Disorders - Merck Manuals Consumer Version
Renal Tubular Acidosis Causes, Symptoms, Treatment in India | Medanta | Medanta
Valeria B. - Renal Tubular Acidosis Story | Childrens Pittsburgh
Difference between revisions of Renal tubular acidosis - WikEM
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Emergency Central | Renal tubular acidosis
Unraveling the Molecular Pathogenesis of Isolated Proximal Renal Tubular Acidosis | American Society of Nephrology
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Normal Anion Gap Metabolic Acidosis | DiabetesTalk.Net
RePub, Erasmus University Repository:
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JCI -
Distal renal tubular acidosis in mice that lack the forkhead transcription factor Foxi1
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Distal renal tubular acidosis
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Topiramate induces type 3 renal tubular acidosis by inhibiting renal carbonic anhydrase. - Sacre Anne
BPB Reports
Renal Tubular Acidosis - Kidney conditions - Condition | Our Health
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Renal Tubular Acidosis
Hyperaldosteronism
The causes of secondary hyperaldosteronism are accessory renal veins, fibromuscular dysplasia, reninoma, renal tubular acidosis ... Rodriguez Soriano J, Boichis H, Stark H, Edelmann CM (1967). "Proximal renal tubular acidosis. A defect in bicarbonate ... Secondary hyperaldosteronism can also be caused by proximal renal tubular acidosis Secondary hyperaldosteronism can also be a ... Another is renal artery stenosis, in which the reduced blood supply across the juxtaglomerular apparatus stimulates the ...
Kidney stone disease
The formation of calcium phosphate stones is associated with conditions such as hyperparathyroidism and renal tubular acidosis ... Bailey & Love's/25th/1296 National Endocrine and Metabolic Diseases Information Service (2008). "Renal Tubular Acidosis (NIH ... such as distal renal tubular acidosis, Dent's disease, hyperparathyroidism, primary hyperoxaluria, or medullary sponge kidney. ... However, no renal tubular damage or visible deposition of calcium oxalate crystals in kidneys was found in yearling wether ...
Hyperkalemia
Karet, Fiona E. (February 2009). "Mechanisms in Hyperkalemic Renal Tubular Acidosis: Figure 1". Journal of the American Society ... However, in respiratory acidosis or organic acidosis such as lactic acidosis, the effect on serum potassium are much less ... Type IV renal tubular acidosis (aldosterone resistance of the kidney's tubules) Gordon's syndrome (pseudohypoaldosteronism type ... Metabolic acidosis can cause hyperkalemia as the elevated hydrogen ions in the cells can displace potassium, causing the ...
Hepatocyte nuclear factor 4 alpha
Kashoor I, Batlle D (September 2019). "Proximal renal tubular acidosis with and without Fanconi syndrome". Kidney Research and ...
Wilfrid Payne
LIGHTWOOD, R.; PAYNE, W. W.; BLACK, J. A. (1 December 1953). "Infantile Renal Acidosis". Pediatrics. American Academy of ... Payne, Wilfrid W. (1956). "Renal tubular defects in childhood". Pediatrics. American Academy of Pediatrics. 17 (1): 84-92. ISSN ... "Wilfrid Walter Payne". The Renal Association. Renal Association. Retrieved 27 June 2018. "Wilfrid Walter Payne". Munks Roll - ...
Lightwood-Albright syndrome
... is a neonatal form of renal tubular acidosis. It is characterized by distal renal tubular acidosis ... This, along with the inability to excrete other acids in the body, contribute to metabolic acidosis and renal tubular acidosis ... Fanconi G (February 1954). "Tubular Insufficiency and Renal Dwarfism". Archives of Disease in Childhood. 29 (143): 1-6. doi: ... Laboratory findings can include metabolic acidosis, hyperchloremia, hypercalcemia, and elevated urinary pH. Specifically, the ...
Southeast Asian ovalocytosis
... distal renal tubular acidosis, and Southeast Asian ovalocytosis". Kidney International. 62 (1): 10-19. doi:10.1046/j.1523- ...
CLDN16
Manz F, Schärer K, Janka P, Lombeck J (1978). "Renal magnesium wasting, incomplete tubular acidosis, hypercalciuria and ... Defects in this gene are a cause of primary hypomagnesemia, which is characterized by massive renal magnesium wasting with ... a renal tight junction protein required for paracellular Mg2+ resorption". Science. 285 (5424): 103-6. doi:10.1126/science. ...
Electrogenic sodium bicarbonate cotransporter 1
Other mutations disrupt kidney bicarbonate transport and cause proximal renal tubular acidosis. NBCe1-A aka kNBC1 (mainly ... 1999). "Mutations in SLC4A4 cause permanent isolated proximal renal tubular acidosis with ocular abnormalities". Nat. Genet. 23 ... "Topological location and structural importance of the NBCe1-A residues mutated in proximal renal tubular acidosis". J. Biol. ... 2003). "Localization of NBC-1 variants in human kidney and renal cell carcinoma". Biochem. Biophys. Res. Commun. 310 (4): 1213- ...
Fuller Albright
Known for Lightwood-Albright syndrome, a neonatal form of renal tubular acidosis. In 1941 Albright was elected a Fellow of the ... and renal tubular acidosis (inability of the kidneys to regulate the acid-base balance in the body), and recognized the ...
Carbonic anhydrase II
Defects in this enzyme are associated with osteopetrosis and renal tubular acidosis. Renal carbonic anhydrase allows the ... Carbonic anhydrase II deficiency syndrome (osteopetrosis associated with renal tubular acidosis and cerebral calcification)". ... recessive osteopetrosis with renal tubular acidosis and cerebral calcification". Pediatrics. 77 (3): 371-81. doi:10.1542/peds. ...
Oliver Wrong
A key insight was that in the group of diseases termed 'Renal Tubular Acidosis' (RTA), urinary excretion of ammonium was ... 2012). "Tropical distal renal tubular acidosis: clinical and epidemiological studies in 78 patients". QJM. 105 (9): 861-877. ... 2012). "Tropical distal renal tubular acidosis: clinical and epidemiological studies in 78 patients". QJM. 105 (9): 861-877. ... Unwin, RJ (2012). "Back to the future: renal tubular acidosis then and now". QJM. 105 (9): 915-916. doi:10.1093/qjmed/hcs134. ...
ATP6V1B1
"Entrez Gene: ATP6V1B1 ATPase, H+ transporting, lysosomal 56/58kDa, V1 subunit B1 (Renal tubular acidosis with deafness)". Human ... Mutations in this gene cause distal renal tubular acidosis associated with sensorineural deafness. GRCh38: Ensembl release 89: ... "Mutations in the gene encoding B1 subunit of H+-ATPase cause renal tubular acidosis with sensorineural deafness". Nat Genet. 21 ...
Fanconi syndrome
The loss of bicarbonate results in type 2 or proximal renal tubular acidosis. The loss of phosphate results in the bone ... The clinical features of proximal renal tubular acidosis are:[citation needed] Polyuria, polydipsia and dehydration ... renal tubular acidosis in a patient with primary Sjögren's syndrome with monoclonal gammopathy of undetermined significance". ... Growth failure Acidosis Hypokalemia Hyperchloremia Other features of the generalized proximal tubular dysfunction of the ...
Vici syndrome
In 2007 the renal tubular acidosis was another clinical complication described in only one case report of two brothers with ... 2007) "Sibling cases of Vici syndrome: sleep abnormalities and complications of renal tubular acidosis". Am J Med Genet A 143(2 ... Renal abnormalities (15%) Infections of the gastrointestinal and urinary tracts are common. Swallowing and feeding difficulties ...
Potassium
... citrate is used to treat a kidney stone condition called renal tubular acidosis. Potassium, in the form of potassium ... at most as a result of prompt and efficient clearance by both renal and extra-renal mechanisms. Hypokalemia, a deficiency of ... Renal handling of potassium is closely connected to sodium handling. Potassium is the major cation (positive ion) inside animal ... Since only 1-10 g of sodium and 1-4 g of potassium are likely to be replaced by diet, renal filtering must efficiently reabsorb ...
SLC12A7
Boettger T, Hübner CA, Maier H, Rust MB, Beck FX, Jentsch TJ (April 2002). "Deafness and renal tubular acidosis in mice lacking ...
ATP6V0A4
Mutations in this gene are associated with renal tubular acidosis associated with preserved hearing. ATP6V0A4 has been shown to ... cause recessive distal renal tubular acidosis with preserved hearing". Nat. Genet. 26 (1): 71-5. doi:10.1038/79208. PMID ... "Localization of a gene for autosomal recessive distal renal tubular acidosis with normal hearing (rdRTA2) to 7q33-34". Am. J. ...
Inner ear regeneration
Deafness and renal tubular acidosis in mice lacking the K-Cl co-transporter Kcc4. Nature, 416(6883), 874-878. https://doi.org/ ...
Laxative
For example, severe hypokalaemia has been associated with distal renal tubular acidosis from laxative abuse. Metabolic ... Copeland PM; Molina, H.; Ohye, Ch.; MacIas, R.; Alaminos, A.; Alvarez, L.; Teijeiro, J.; Muñoz, J.; Ortega, I. (1994). "Renal ... Wright LF, DuVal JW (1987). "Renal injury associated with laxative abuse". South Med J. 80 (10): 1304-6. doi:10.1097/00007611- ...
Ifosfamide
... may also cause a normal anion gap acidosis, specifically renal tubular acidosis type 2. "Ifosfamide". The American ...
Expiration date
A rare exception is a case of renal tubular acidosis purportedly caused by expired tetracycline. A study conducted by the U.S. ...
Tyrosinemia type I
Renal tubular acidosis, hypophosphatemia and aminoaciduria. Cardiomyopathy, neurologic and dermatologic manifestations are also ... SA can function to inhibit renal tubular function, the synthesis of heme, and the immune system. The accumulation of ... The inability of cells to process tyrosine can lead to chronic liver damage ending in liver failure, as well as renal disease ... Kidney failure is a potential result of impaired kidney function, but the most common symptom associated with renal dysfunction ...
Shelf life
A rare exception is a case of renal tubular acidosis purportedly caused by expired tetracycline. A study conducted by the U.S. ...
WNK4
... hypertension and systemic acidosis without renal failure associated with a tubular defect in potassium excretion". The American ... Renal Physiology. 305 (1): F31-41. doi:10.1152/ajprenal.00652.2012. PMC 3725674. PMID 23594824. Ring AM, Leng Q, Rinehart J, ... Renal Physiology. 290 (6): F1305-14. doi:10.1152/ajprenal.00391.2005. PMID 16403833. Jiang Y, Ferguson WB, Peng JB (February ... Renal Physiology. 304 (1): F8-F18. doi:10.1152/ajprenal.00284.2012. PMC 3543615. PMID 23054253. San-Cristobal P, Pacheco- ...
Pyruvate dehydrogenase deficiency
"Metabolic Acidosis Treatment & Management: Approach Considerations, Type 1 Renal Tubular Acidosis, Type 2 Renal Tubular ... patients usually show severe hyperventillation due to profound metabolic acidosis mostly related to lactic acidosis. Metabolic ... Resolution of lactic acidosis is observed in patients with E1 alpha enzyme subunit mutations that reduce enzyme stability. ... It is expected that most cases will be of mild severity and have a clinical presentation involving lactic acidosis. Male ...
V-ATPase
There are four types of renal tubular acidosis. Type 1 is distal renal tubular acidosis and results from a failure of the ... In all cases, renal tubular acidosis results from a failure of the normal renal mechanisms that regulate systemic pH. ... January 1999). "Mutations in the gene encoding B1 subunit of H+-ATPase cause renal tubular acidosis with sensorineural deafness ... One gene is carbonic anhydrase II (CAII), which, when mutated, causes osteopetrosis with renal tubular acidosis(type 3). ...
Enlarged vestibular aqueduct
... s can also occur in branchio-oto-renal syndrome, CHARGE syndrome and renal tubular acidosis. ...
Hydrochlorothiazide
Other uses include treating diabetes insipidus and renal tubular acidosis and to decrease the risk of kidney stones in those ... renal tubular acidosis. It is also used for the prevention of kidney stones in those who have high levels of calcium in their ...
Band 3 anion transport protein
... renal tubular acidosis, which is an inability to acidify the urine, even if the blood is too acidic. These mutations are ... exchanger associated with inherited distal renal tubular acidosis". Clin. Exp. Nephrol. 8 (1): 1-11. doi:10.1007/s10157-003- ...
നെഫ്രോട്ടിക് സിൻഡ്രോം - വിക്കിപീഡിയ
Renal tubular acidosis *proximal. *distal. *Acute tubular necrosis. *Genetic *Fanconi syndrome. *Bartter syndrome ...
Aspirin
... is known to compete with penicillin G for renal tubular secretion.[211] Aspirin may also inhibit the absorption of ... Acidosis increases the volume of distribution because of enhancement of tissue penetration of salicylates.[52] ... A 10- to 20-fold increase in renal clearance occurs when urine pH is increased from 5 to 8. The use of urinary alkalinization ... D'Agati V (July 1996). "Does aspirin cause acute or chronic renal failure in experimental animals and in humans?". American ...
Lynn Gilderdale
... renal tubular acidosis type 1, osteoporosis, to name but a few ] and she started to say to me in her sign language, 'Mum, you ...
Nephron
... renal tubular diseases include acute tubular necrosis, renal tubular acidosis, and polycystic kidney disease. Distribution of ... It is composed of a renal corpuscle and a renal tubule. The renal corpuscle consists of a tuft of capillaries called a ... 1027 The renal corpuscle has two poles: a vascular pole and a tubular pole.: 397 The arterioles from the renal circulation ... renal tubular diseases include acute tubular necrosis and polycystic kidney disease. The nephron is the functional unit of the ...
Oculocerebrorenal syndrome
Lowe syndrome can be considered a cause of Fanconi syndrome (bicarbonaturia, renal tubular acidosis, potassium loss and sodium ... This problem is known as Fanconi-type renal tubular dysfunction.[medical citation needed] This syndrome is caused by mutations ... proximal tubular acidosis, aminoaciduria and low-molecular-weight proteinuria. ... Renal pathology is characterized by an abnormal loss of certain substances into the urine, including bicarbonate, sodium, ...
BCS1L
... renal tubulopathy, muscle weakness, exercise intolerance, lactic acidosis, hypotonia, seizures, and optic atrophy. Pathogenic ... which maintains the mitochondrial tubular shapes and interacts with the AAA-ATPase BCS1L". Journal of Cell Science. 121 (Pt 15 ... Growth retardation, aminoaciduria, cholestasis, iron overload, lactic acidosis, and early death (GRACILE) is a recessively ... GRACILE is characterized by fetal growth retardation, lactic acidosis, aminoaciduria, cholestasis, and abnormalities in iron ...
Metformin
Somogyi A, Stockley C, Keal J, Rolan P, Bochner F (May 1987). "Reduction of metformin renal tubular secretion by cimetidine in ... Lactic acidosis almost never occurs with metformin exposure during routine medical care. Rates of metformin-associated lactic ... It is cleared from the body by tubular secretion and excreted unchanged in the urine; it is undetectable in blood plasma within ... Renal Physiology. 310 (5): F342-50. doi:10.1152/ajprenal.00204.2015. PMID 26661649. Witters LA (October 2001). "The blooming of ...
Malignant infantile osteopetrosis
Neuropathic infantile osteopetrosis Infantile osteopetrosis with renal tubular acidosis Infantile osteopetrosis with ...
Charles II of Spain
Charles may have had combined pituitary hormone deficiency and distal renal tubular acidosis. One suggestion is his health ...
Tiny Tim (A Christmas Carol)
However, renal tubular acidosis (type 1), which is a type of kidney failure causing the blood to become acidic, has been ...
Acid-base homeostasis
When the extracellular fluids tend towards acidity, the renal tubular cells secrete the H+ ions into the tubular fluid from ... metabolic acidosis, respiratory acidosis, metabolic alkalosis, and respiratory alkalosis. One or a combination of these ... It is very probable that the renal tubular cells of the distal convoluted tubules are themselves sensitive to the pH of the ... are deaminated by the distal renal tubular epithelial cells. Thus some of the "acid content" of the urine resides in the ...
List of skin conditions
Hemorrhagic fever with renal syndrome Hepatitis B Hepatitis C Herpangina Herpes gladiatorum (scrum pox) Herpes simplex Herpes ... tubular apocrine adenoma) Papillary hidradenoma (hidradenoma papilliferum) Papillomatosis cutis carcinoides (Gottron's ... Mitochondrial myopathy-encephalopathy-lactic acidosis-stroke syndrome Multiple lentigines syndrome (cardiocutaneous syndrome, ... renal pruritus) Psoriasis is a common, chronic, and recurrent inflammatory disease of the skin characterized by circumscribed, ...
Ammonium chloride
... in oral acid loading test to diagnose distal renal tubular acidosis, to maintain the urine at an acid pH in the treatment of ...
List of OMIM disorder codes
SLC5A2 Renal tubular acidosis with deafness; 267300; ATP6B1 Renal tubular acidosis, distal, AD; 179800; SLC4A1 Renal tubular ... ACE Renal tubular dysgenesis; 267430; AGT Renal tubular dysgenesis; 267430; AGTR1 Renal tubular dysgenesis; 267430; REN Renal- ... SLC4A1 Renal tubular acidosis, distal, autosomal recessive; 602722; ATP6V0A4 Renal tubular acidosis, proximal, with ocular ... FLCN Renal cell carcinoma; 144700; DIRC2 Renal cell carcinoma; 144700; HNF1A Renal cell carcinoma; 144700; RNF139 Renal cell ...
Normal anion gap acidosis
The most common cause of normal anion gap acidosis is diarrhea with a renal tubular acidosis being a distant second. The ... often from normal saline Acetazolamide and other carbonic anhydrase inhibitors Renal tubular acidosis Diarrhea: due to a loss ... hyperchloremic acidosis) or increased excretion of bicarbonate. High anion gap metabolic acidosis "Metabolic Acidosis: Acid- ... Normal anion gap acidosis is an acidosis that is not accompanied by an abnormally increased anion gap. ...
Retrospective diagnosis
Squirrel Nutkin may have had Tourette syndrome and Tiny Tim could have had distal renal tubular acidosis (type I). Post-mortem ...
List of diseases (O)
... dermopathy white forelock Osteopetrosis autosomal dominant type 1 Osteopetrosis lethal Osteopetrosis renal tubular acidosis ... autosomal recessive Optic atrophy Optic disc drusen Optic nerve coloboma with renal disease Optic nerve disorder Optic nerve ... osseous syndrome Oculo dento digital dysplasia Oculo digital syndrome Oculo facio cardio dental syndrome Oculo skeletal renal ... Oikophobia Okamuto-Satomura syndrome Olfactophobia Oligodactyly Oligodactyly tetramelia postaxial Oligomeganephronic renal ...
Acute liver failure
... independent of renal function. Lactic acidosis occurs predominantly in paracetamol (also known as acetaminophen) overdose. ... either due to original insult such as paracetamol resulting in acute tubular necrosis or from hyperdynamic circulation leading ... Hypophosphatemia is especially common in patients with acetaminophen-induced ALF and in those with intact renal function. ... resulting in tissue hypoxia and lactic acidosis. Pulmonary complications occur in up to 50% of patients. Severe lung injury and ...
Azacitidine
Renal tubular acidosis developed in five patients with chronic myelogenous leukemia (an unapproved use) treated with ... and patients with renal impairment may be at increased risk for renal toxicity. Azacitidine and its metabolites are primarily ...
List of diseases (M)
... syndrome Maffucci syndrome Maghazaji syndrome Magnesium defect in renal tubular transport of Magnesium wasting renal Major ... Moebius Robin syndrome Myopathy ophthalmoplegia hypoacousia areflexia Myopathy tubular aggregates Myopathy with lactic acidosis ... Mitochondrial genetic disorders Mitochondrial myopathy lactic acidosis Mitochondrial myopathy-encephalopathy-lactic acidosis ... Mesomelic dysplasia skin dimples Mesomelic dysplasia Thai type Mesomelic syndrome Pfeiffer type Mesothelioma Metabolic acidosis ...
Hyperchloremic acidosis
Diseases Database (DDB): 11673 NIH - Renal Tubular Acidosis (CS1 errors: missing periodical, Articles with short description, ... and loss of alkaline proximal small bowel secretions Chronic laxative abuse Renal causes Proximal renal tubular acidosis with ... 3 resorption Distal renal tubular acidosis with failure of H+ secretion Long-term use of a carbonic anhydrase inhibitor such as ... In general, the cause of a hyperchloremic metabolic acidosis is a loss of base, either a gastrointestinal loss or a renal loss ...
Furosemide
Because of the large NaCl absorptive capacity of the loop of Henle, diuresis is not limited by development of acidosis, as it ... Furosemide is mainly excreted by tubular secretion in the kidney. In kidney impairment, clearance is reduced, increasing the ... Molecular weight (daltons) 330.7 % Bioavailability 47-70% Bioavailability with end-stage renal disease 43 - 46% % Protein ... concomitant renal disease and coadministration with other ototoxic medication. However, a recently reported longitudinal study ...
Sepsis
... unexplained metabolic acidosis with base deficit > 5 mEq/L lactic acidosis: serum lactate 2 times the upper limit of normal ... Intermittent or continuous renal replacement therapy may be used if indicated. However, sodium bicarbonate is not recommended ... inadequate oxygenation results in tubular epithelial cell injury (of the cells lining the kidney tubules), and thus causes ... Signs of established sepsis include confusion, metabolic acidosis (which may be accompanied by a faster breathing rate that ...
Urine test strip
Other proteins include small amounts of serum and tubular microglobulins. Uromodulin produced by the renal tubular epithelial ... acidosis and in the end diabetic coma. The three ketone compounds appear in different proportions in the urine, although these ... The complex process of reabsorption is usually one of the first renal functions to be affected by disease. The specific gravity ... Routine urinalysis is recommended as a basic yet fundamental step in identifying renal damage and/or urinary tract disease at ...
List of diseases (N)
Neurilemmomatosis Neuritis with brachial predilection Neuroacanthocytosis Neuroaxonal dystrophy renal tubular acidosis ...
Renal tubular acidosis with deafness: MedlinePlus Genetics
... renal) problems and hearing loss. Explore symptoms, inheritance, genetics of this condition. ... Renal tubular acidosis with deafness is a disorder characterized by kidney ( ... Renal tubular acidosis with progressive nerve deafness. *Renal tubular acidosis, autosomal recessive, with progressive nerve ... medlineplus.gov/genetics/condition/renal-tubular-acidosis-with-deafness/ Renal tubular acidosis with deafness. ...
Browsing by Subject "Acidosis, Renal Tubular"
Browsing by Subject "Acidosis, Renal Tubular"
Metabolic Acidosis Treatment & Management: Approach Considerations, Type 1 Renal Tubular Acidosis, Type 2 Renal Tubular Acidosis
Metabolic acidosis should be considered a sign of an underlying disease process. ... Metabolic acidosis is a clinical disturbance characterized by an increase in plasma acidity. ... Type 1 Renal Tubular Acidosis. Administration of an alkali is the mainstay of treatment for type 1 renal tubular acidosis (RTA ... Type 2 Renal Tubular Acidosis. Correcting this form of acidosis with alkali is difficult because a substantial proportion of ...
Type 2 Renal Tubular Acidosis
... , Type II Renal Tubular Acidosis, Type II RTA, Proximal RTA, Proximal Renal Tubular Acidosis. ... Type 2 Renal Tubular Acidosis. Aka: Type 2 Renal Tubular Acidosis, Type II Renal Tubular Acidosis, Type II RTA, Proximal RTA, ... Type 2 Renal Tubular Acidosis. * Type 3 Renal Tubular Acidosis * Type 4 Renal Tubular Acidosis ... Renal Tubular Acidosis * Type 1 Renal Tubular Acidosis * ... Proximal Renal Tubular Acidosis *Epidemiology. *Most commonly ...
Renal Tubular Acidosis (RTA)-Causes-Types-Diagnosis-Treatment-Complications
Renal tubular acidosis causes include Addison s disease, drugs, mineralcorticoid deficiency. ... Renal tubular acidosis/RTA results in acid content of the blood being higher than normal and that of the urine lower than ... Renal Tubular Acidosis is treated using alkaline agents like sodium bicarbonate and sodium citrate or potassium citrate. In ... Renal tubular acidosis is a condition where the kidneys are unable to maintain the acid base balance in the body due to defect ...
Quiz: Renal Tubular Acidosis RTA - Merck Manuals Consumer Version
JCI -
Inactive form of erythrocyte carbonic anhydrase B in patients with primary renal tubular acidosis.
Proximal renal tubular acidosis Information | Mount Sinai - New York
... recovery and follow-up care for Proximal renal tubular acidosis. ... Learn about Proximal renal tubular acidosis, find a doctor, ... Proximal renal tubular acidosis. Renal tubular acidosis - proximal; Type II RTA; RTA - proximal; Renal tubular acidosis type II ... Renal tubular acidosis. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of ... Proximal renal tubular acidosis is a disease that occurs when the kidneys dont properly remove acids from the blood into the ...
WHO EMRO | Case reports: Unusual association between renal tubular acidosis and Chilaiditi syndrome: a case report | Volume 12,...
... the cause of ileus was severe hypokalaemia resulting from type-1 renal tubular acidosis. The causes of renal tubular acidosis ... Case reports: Unusual association between renal tubular acidosis and Chilaiditi syndrome: a case report ... To our knowledge, the development of Chilaiditi syndrome as a complication of severe hypokalaemia from renal tubular acidosis ... Unusual association between renal tubular acidosis and Chilaiditi syndrome: a case report ...
KEGG DISEASE: Hyperkalemic distal renal tubular acidosis (RTA type 4)
Renal tubular acidosis (RTA) is characterized by metabolic acidosis, a severe disturbance of extracellular pH homeostasis, due ... H00243 Hyperkalemic distal renal tubular acidosis (RTA type 4). Human diseases in ICD-11 classification [BR:br08403]. 16 ... New insights into the pathogenesis of renal tubular acidosis--from functional to molecular studies. ... Mutations in the genes encoding WNK1 and WNK4 kinases (WNK1 and WNK4), which regulate ion-transporters on renal tubules, were ...
A phenocopy of CAII deficiency: a novel genetic explanation for inherited infantile osteopetrosis with distal renal tubular...
Osteopetrosis, renal tubular acidosis and basal ganglia calcification in three sisters. Am J Med1980;69:64-74. ... Mutations in the gene encoding B1 subunit of H+-ATPase cause renal tubular acidosis with sensorineural deafness. Nat Genet1999; ... Guibaud P, Larbre F, Freycon MT, Genoud J. Osteopetrosis and renal tubular acidosis. 2 cases of this association in a sibship. ... The association of osteopetrosis and renal tubular acidosis (RTA) was first described in 1972, and it is also referred to as ...
Hypernatremia and Hypophosphatemia in Distal Renal Tubular Acidosis: A Case Report of Acid-base and Electrolyte Misadventure |...
... is easily recognized in patients with hypokalemia and normal anion gap acidosis. Other concurrent electrolyte abnormalities ... Prevalence of endemic distal renal tubular acidosis and renal stone in the Northeast of Thailand. Nephron. 1996;72(4):604-10. ... Distal renal tubular acidosis (RTA) is easily recognized in patients with hypokalemia and normal anion gap acidosis. Other ... Distal renal tubular acidosis (RTA) is a common referral to nephrology units worldwide. Reported prevalence varies between 2.8- ...
Autosomal dominant osteopetrosis associated with renal tubular acidosis is due to a CLCN7 mutation -...
IMSEAR at SEARO: Distal renal tubular acidosis.
Renal Tubular Acidosis: A case Report
| Journal of Postgraduate Medical Institute
Distal Renal Tubular Acidosis Panel Test - PreventionGenetics
Hereditary forms of distal renal tubular acidosis (dRTA) result from impaired acid excretion at intercalated cells in the ... collecting tubules and are characterized by hyperchloremic metabolic acidosis without bicarbonaturia or diarrhea (Alper 2010; ... Renal Tubular Acidosis With Progressive Nerve Deafness. AR. 267300. Renal Tubular Acidosis, Distal, Autosomal Dominant. AD. ... Renal Tubular Acidosis, Distal, Autosomal Recessive. AR. 602722. Renal Tubular Acidosis, Distal, With Hemolytic Anemia. AR. ...
Renal Tubular Acidosis | 5-Minute Pediatric Consult
Renal Tubular Acidosis answers are found in the 5-Minute Pediatric Consult powered by Unbound Medicine. Available for iPhone, ... Renal tubular acidosis (RTA) is characterized by hyperchloremic metabolic acidosis in the setting of normal or near-normal ... Renal tubular acidosis (RTA) is characterized by hyperchloremic metabolic acidosis in the setting of normal or near-normal ... Acidosis. Accessed November 28, 2022.. Renal Tubular Acidosis. (2019). In Cabana, M. D. (Ed.), 5-Minute Pediatric Consult (8th ...
Instructions for Classification of Underlying and Multiple Causes of Death - Appendix - 2020
Metabolic Acidosis Treatment & Management: Approach Considerations, Type 1 Renal Tubular Acidosis, Type 2 Renal Tubular Acidosis
Metabolic acidosis should be considered a sign of an underlying disease process. ... Metabolic acidosis is a clinical disturbance characterized by an increase in plasma acidity. ... Type 1 Renal Tubular Acidosis. Administration of an alkali is the mainstay of treatment for type 1 renal tubular acidosis (RTA ... Type 2 Renal Tubular Acidosis. Correcting this form of acidosis with alkali is difficult because a substantial proportion of ...
A study of recurrent stone formers with special reference to renal tubular acidosis<...
N2 - Forty-five patients with recurrent renal stone were examined for distal renal tubular acidosis (dRTA) defects by acid ... AB - Forty-five patients with recurrent renal stone were examined for distal renal tubular acidosis (dRTA) defects by acid ... Forty-five patients with recurrent renal stone were examined for distal renal tubular acidosis (dRTA) defects by acid challenge ... abstract = "Forty-five patients with recurrent renal stone were examined for distal renal tubular acidosis (dRTA) defects by ...
Hyperchloremic Acidosis Differential Diagnoses
... in particular the renal tubular acidoses (RTAs). It also addresses approaches to the diagnosis and management of these ... This article covers the pathophysiology and causes of hyperchloremic metabolic acidoses, ... Prevalence of distal renal tubular acidosis in patients with calcium phosphate stones. World J Urol. 2020 Mar. 38 (3):789-94. [ ... The genetic and clinical spectrum of a large cohort of patients with distal renal tubular acidosis. Kidney Int. 2017 May. 91 (5 ...
Hypokalemic Periodic Paralysis Precipitated by Thyrotoxicosis and Renal Tubular Acidosis<...
Hypokalemic Periodic Paralysis Precipitated by Thyrotoxicosis and Renal Tubular Acidosis. In: Case Reports in Endocrinology. ... Hypokalemic Periodic Paralysis Precipitated by Thyrotoxicosis and Renal Tubular Acidosis. Case Reports in Endocrinology. 2021; ... Hypokalemic Periodic Paralysis Precipitated by Thyrotoxicosis and Renal Tubular Acidosis. Ian Jackson, Yazan Addasi, Moeed ... Hypokalemic Periodic Paralysis Precipitated by Thyrotoxicosis and Renal Tubular Acidosis. / Jackson, Ian; Addasi, Yazan; Ahmed ...
Renal tubular acidosis in children Mittal K, Mittal A - J Pediatr Crit Care
Renal tubular acidosis in children. Kundan Mittal1, Anindya Mittal2. 1 Department of Pediatrics, Pt. B D Sharma, PGIMS, Rohtak ... Renal tubular acidosis (RTA) is a rare disease in children and the incidence is low, i.e., 1:106 in general population. ... Mittal K, Mittal A. Renal tubular acidosis in children. J Pediatr Crit Care [serial online] 2022 [cited 2022 Dec 8];9:72. ... Mittal K, Mittal A. Renal tubular acidosis in children. J Pediatr Crit Care 2022;9:72. ...
Nephrolithiasis In Renal Tubular Acidosis | Best Nephrologist In Delhi | Dr Rajesh Goel | Kidney Care Centre
Renal tubular acidosis is a rare kind of kidney disorder that occurs due to the inability of the kidneys to excrete acids from ... Renal tubular acidosis is of four types- type 1 or distal renal tubular acidosis, type 2 or proximal renal tubular acidosis, ... type 3 or mixed renal tubular acidosis, and type 4 or hyperkalemic renal tubular acidosis. Type 1 or distal renal tubular ... Renal tubular acidosis is a rare kind of kidney disorder that occurs due to the inability of the kidneys to excrete acids from ...
Low Salt Diet in Idiopathic Hypercalciuria - Full Text View - ClinicalTrials.gov
Toluene | Medical Management Guidelines | Toxic Substance Portal | ATSDR
Renal tubular acidosis, glomerulonephritis, myoglobinuria, and renal failure have been observed (Poisondex, 2014). ... In solvent abusers, electrolyte and acid-base disturbances have resulted in renal tubular acidosis, deficiency of potassium, ... Disorders of the muscles, cardiovascular effects, renal tubular damage, and sudden death have occurred in chronic abusers of ... Renal. Blood and protein in the urine can occur after massive inhalation. These effects are usually reversible if exposure is ...
Quintanilla AP[au] - Search Results - PubMed
Renal tubular acidosis: mechanisms and management. Quintanilla AP. Quintanilla AP. Postgrad Med. 1980 Apr;67(4):60-73. doi: ... Pathophysiology of renal concentrating defects. Quintanilla AP. Quintanilla AP. Ann Clin Lab Sci. 1981 Jul-Aug;11(4):300-7. Ann ... Renal hemodynamics and water excretion in Addisons disease. Quintanilla AP, Delgado-Butron C, Zeballos J. Quintanilla AP, et ...
MetabolicExcretionEvaluation of Renal TubularBicarbonateCarbonicDRTAOsteopetrosisAcidose Tubular RenalHereditaryAnion gapDiabeticFanconiKidneysSevereAutosomalPotassiumLacticAcidificationNephrogenicPathophysiologyImpairmentAcidTubulesSymptoms2016Proximal tubular dysfunctionHyperthyroidism2020ClinicalDysfunction-cholestasisHyperkalemicDiseaseUrineHyperchloremic AcidosisDiagnosisDiarrheaSodium2022UrinaryPrevalenceNephrolithiasisNecrosisHypokalemiaTypeCalcium phosphate2017TubulointerstitialMutationsCalculiChilaiditiPhysiology
Metabolic42
- This chemical imbalance, called metabolic acidosis, can result in a range of signs and symptoms that vary in severity. (medlineplus.gov)
- Treatment of acute metabolic acidosis with alkali therapy is usually indicated to raise and maintain the plasma pH to greater than 7.20. (medscape.com)
- For example, in a patient with metabolic acidosis with a serum HCO 3 - level of 9 mEq/L and a maximally compensated PCO 2 of 20 mm Hg, a drop in the serum HCO 3 - level to 7 mEq/L results in a change in pH from 7.28 to 7.16. (medscape.com)
- A second situation in which HCO 3 - correction should be considered is in well-compensated metabolic acidosis with impending respiratory failure. (medscape.com)
- As metabolic acidosis continues in some patients, the increased ventilatory drive to lower the PaCO 2 may not be sustainable because of respiratory muscle fatigue. (medscape.com)
- For example, in a patient with metabolic acidosis with a serum HCO 3 - level of 15 and a compensated PaCO 2 of 27 mm Hg, a rise in PaCO 2 to 37 mm Hg results in a change in pH from 7.33 to 7.20. (medscape.com)
- Sodium bicarbonate (NaHCO 3 ) is the agent most commonly used to correct metabolic acidosis. (medscape.com)
- This is especially true in certain forms of metabolic acidosis. (medscape.com)
- His past history was significant for severe duodenitis, chronic diarrhoea, hypokalaemia and metabolic acidosis. (who.int)
- The patient was given intravenous fluids and potassium to correct his metabolic acidosis and hypokalaemia. (who.int)
- The patient continued to have metabolic acidosis and severe hypokalaemia post-surgery for which a nephrology consultation was obtained and the patient was diagnosed as a case of renal tubular acidosis ( Table 1 ). (who.int)
- Renal tubular acidosis (RTA) is characterized by metabolic acidosis, a severe disturbance of extracellular pH homeostasis, due to renal impaired acid excretion. (kegg.jp)
- Primary pseudohypoaldosteronism type 1 (PHA1) is characterized by salt-wasting, hyperkalemia, and metabolic acidosis in the presence of markedly elevated plasma renin activity and aldosterone concentration. (kegg.jp)
- She required mechanical ventilation due to severe metabolic acidosis and hypokalemia. (researchsquare.com)
- Blood investigations revealed severe hypokalemia with normal anion gap metabolic acidosis. (researchsquare.com)
- Renal tubular acidosis (RTA) is characterized by hyperchloremic metabolic acidosis in the setting of normal or near-normal glomerular filtration rate (GFR). (unboundmedicine.com)
- In distal RTA, mutations in the basolateral anion exchanger or the H + -ATPase prevent bicarbonate transport into the bloodstream and hydrogen ion secretion into the lumen, respectively, resulting in impaired net acid secretion and non-anion gap metabolic acidosis. (unboundmedicine.com)
- Distal RTA type IV is associated with either low aldosterone levels or aldosterone resistance and presents with hyperkalemic non-anion gap metabolic acidosis. (unboundmedicine.com)
- Kraut JA, Kurtz I. Treatment of acute non-anion gap metabolic acidosis. (medscape.com)
- Labs showed hypokalemia, hyperthyroidism, and nonanion gap metabolic acidosis with a positive urine anion gap. (elsevier.com)
- disruption of the normal acid-base balance, increased acid levels in the blood and a condition called metabolic acidosis. (kidneycarecentre.in)
- Metabolic acidosis is a condition in which there is too much acid in the body fluids. (medlineplus.gov)
- Metabolic acidosis develops when too much acid is produced in the body. (medlineplus.gov)
- Most symptoms are caused by the underlying disease or condition that is causing the metabolic acidosis. (medlineplus.gov)
- Metabolic acidosis itself most often causes rapid breathing. (medlineplus.gov)
- Severe metabolic acidosis can lead to shock or death. (medlineplus.gov)
- In some situations, metabolic acidosis can be a mild, ongoing (chronic) condition. (medlineplus.gov)
- Seek medical help if you have symptoms of any disease that can cause metabolic acidosis. (medlineplus.gov)
- Health benefits of baking soda include reduced risk and prevention of diarrhea , metabolic acidosis, acidity , peptic ulcer, and drug intoxication. (organicfacts.net)
- Sodium bicarbonate is beneficial in minimizing the risk of metabolic acidosis in various health disorders. (organicfacts.net)
- Less often, the reasons for investigation are laboratory findings such as proteinuria, hypokalemia , hypophosphatemia, and hyperchloremic metabolic acidosis. (medscape.com)
- Monitor for lithium toxicity and metabolic acidosis. (nih.gov)
- Metabolic acidosis, diabetic ketoacidosis. (clinicaladvisor.com)
- This article covers the pathophysiology and causes of hyperchloremic metabolic acidoses , in particular the renal tubular acidoses (RTAs). (medscape.com)
- A low plasma bicarbonate (HCO 3 - ) concentration represents, by definition, metabolic acidosis, which may be primary or secondary to a respiratory alkalosis. (medscape.com)
- Loss of bicarbonate stores through diarrhea or renal tubular wasting leads to a metabolic acidosis state characterized by increased plasma chloride concentration and decreased plasma bicarbonate concentration. (medscape.com)
- Primary metabolic acidoses that occur as a result of a marked increase in endogenous acid production (eg, lactic or keto acids) or progressive accumulation of endogenous acids when excretion is impaired by renal insufficiency are characterized by decreased plasma bicarbonate concentration and increased anion gap without hyperchloremia. (medscape.com)
- The initial differentiation of metabolic acidosis should involve a determination of the anion gap (AG). (medscape.com)
- For this reason, it is also known as hyperchloremic metabolic acidosis. (medscape.com)
- Go to Metabolic Acidosis , Pediatric Metabolic Acidosis , and Emergent Management of Metabolic Acidosis for complete information on these topics. (medscape.com)
- A group of genetic disorders of the KIDNEY TUBULES characterized by the accumulation of metabolically produced acids with elevated plasma chloride, hyperchloremic metabolic ACIDOSIS. (bvsalud.org)
- The 'cases' met the diagnostic criteria for PRTD, determined by the presence of two or more of the following abnormalities: non-diabetic glycosuria, metabolic acidosis, increased uric acid and phosphorus excretion, decreased tubular phosphorus reabsorption and β2-microglobulinuria. (lww.com)
Excretion4
- Potassium balance and serum potassium level are maintained until very late in chronic kidney disease (CKD), mainly because of an increase in renal and colonic excretion. (koreamed.org)
- Defective renal acidification of URINE (proximal tubules) or low renal acid excretion (distal tubules) can lead to complications such as HYPOKALEMIA , hypercalcinuria with NEPHROLITHIASIS and NEPHROCALCINOSIS , and RICKETS . (bvsalud.org)
- The genetic defect is in the anion exchange protein gene SLC4A1 resulting in impaired excretion of hydrogen ions or renal acids in the distal renal tubules. (bvsalud.org)
- The renal function was evaluated through daily urinalysis, fractioned excretion of sodium and potassium, serum concentration of creatinine and blood urea nitrogen (BUN) and urinary activity of gamma-glutamyltransferase (GGT). (unesp.br)
Evaluation of Renal Tubular2
- Evaluation of Renal Tubular Acidosis. (medindia.net)
- Yaxley J, Pirrone C. Review of the Diagnostic Evaluation of Renal Tubular Acidosis. (medscape.com)
Bicarbonate10
- In lactic acidosis and diabetic ketoacidosis, the organic anion can regenerate bicarbonate when the underlying disorder is corrected, and caution must be exercised in trying to correct the acidosis with bicarbonate therapy, unless the pH is less than 7.0-7.1. (medscape.com)
- Renal tubular acidosis is a condition where the kidneys are unable to maintain the acid base balance in the body due to defect in secretion of acid, reabsorption of bicarbonate or both. (medindia.net)
- Proximal renal tubular acidosis (type II RTA) occurs when bicarbonate is not properly reabsorbed by the kidney's filtering system. (mountsinai.org)
- Delayed correction of acidosis with sodium bicarbonate led to severe hypernatremia (180mmol/L) and slow recovery of serum potassium level. (researchsquare.com)
- Hyperchloremic acidosis is caused by the loss of too much sodium bicarbonate from the body, which can happen with severe diarrhea. (medlineplus.gov)
- Acidosis is mainly caused by a defect in the reabsorption of bicarbonate in the proximal tubule. (medscape.com)
- As in all other forms of proximal renal tubular acidosis, the threshold for bicarbonate is low, but distal acidification is normal. (medscape.com)
- A normal AG acidosis is characterized by a lowered bicarbonate concentration, which is counterbalanced by an equivalent increase in plasma chloride concentration. (medscape.com)
- The genetic defect is in the sodium bicarbonate cotransporter gene SLC4A4 resulting in impaired reabsorption of bicarbonate ions in the proximal renal tubules and bicarbonate-wasting. (bvsalud.org)
- Renal tubular dysfunction ranges from isolated renal tubular acidosis to full-blown Fanconi syndrome (polyuria, aminoaciduria, glycosuria, phosphaturia, and bicarbonate loss). (altmeyers.org)
Carbonic2
DRTA3
- Forty-five patients with recurrent renal stone were examined for distal renal tubular acidosis (dRTA) defects by acid challenge test (150 mg ammonium chloride/kg body weight). (elsevier.com)
- Sibnayal™ is the first and only label-approved drug for the treatment of Distal renal tubular acidosis (dRTA) in adults, adolescents, and children aged one year and older. (pharmiweb.com)
- We are proud to be partnering with Advicenne for the delivery of Sibnayal™ to patients and improve the lives of those suffering from Distal Renal Tubular Acidosis (dRTA). (pharmiweb.com)
Osteopetrosis3
- The rare bone thickening disease osteopetrosis occurs in various forms, one of which is accompanied by renal tubular acidosis (RTA), and is known as Guibaud-Vainsel syndrome or marble brain disease. (bmj.com)
- The association of osteopetrosis and renal tubular acidosis (RTA) was first described in 1972, and it is also referred to as Guibaud-Vainsel syndrome or marble brain disease (MIM 259730, http://www.ncbi.nlm.nih.gov/Omim/ ). (bmj.com)
- The presence of primary neurodegeneration, mental retardation, skin and immune system involvement, or renal tubular acidosis may point to rarer osteopetrosis variants, whereas onset of primarily skeletal manifestations such as fractures and osteomyelitis in late childhood or adolescence is typical of ADO. (biomedcentral.com)
Acidose Tubular Renal1
- Concluiu-se que a anfotericina B provoca lesões nos túbulos proximal e distal, induzindo acidose tubular renal do tipo I e Diabetes insipidus nefrogênico em cães. (unesp.br)
Hereditary3
- The causes of renal tubular acidosis include hereditary disorders, autoimmune diseases and certain drugs such as amphotericin B, lithium and analgesics. (who.int)
- Mass RE, Smith WR, Walsh JR. The association of hereditary fructose intolerance and renal tubular acidosis. (medscape.com)
- Hereditary occurrence of cystic disease of the renal medulla. (dattaweb.com)
Anion gap2
- Distal renal tubular acidosis (RTA) is easily recognized in patients with hypokalemia and normal anion gap acidosis. (researchsquare.com)
- Patient was diagnosed as Type I Renal tubular Acidosis on the basis of alkaline urine, nephrocalcinosis, hypokalemic hyperchloremic metabolicacidosis with normal serum anion gap and positive ammonium chloride challenge test. (org.pk)
Diabetic2
- A 56-year-old man suffered from severe diabetic ketoacidosis which was complicated by acute renal failure and rhabdomyolysis. (nel.edu)
- Diabetic acidosis (also called diabetic ketoacidosis and DKA) develops when substances called ketone bodies (which are acidic) build up during uncontrolled diabetes (usually type 1 diabetes). (medlineplus.gov)
Fanconi2
- Proximal RTA is often associated with Fanconi syndrome in which there is general proximal tubular dysfunction leading to bicarbonaturia, glucosuria, phosphaturia, and tubular proteinuria. (unboundmedicine.com)
- A female patient of Greek origin presented on the 14th day of life with renal tubular acidosis, Fanconi syndrome, nephrogenic diabetes insipidus, and cholestasis with normal gamma-glutamyl transpeptidase, without arthrogryposis and dysmorphic features. (hindawi.com)
Kidneys4
- Proximal renal tubular acidosis is a disease that occurs when the kidneys don't properly remove acids from the blood into the urine. (mountsinai.org)
- Renal tubular acidosis is a rare kind of kidney disorder that occurs due to the inability of the kidneys to excrete acids from the blood into the urine normally. (kidneycarecentre.in)
- Kidney stones (also called renal calculi, nephrolithiasis or urolithiasis) are hard deposits made of minerals and salts that form inside your kidneys. (mayoclinic.org)
- Chloride levels above 106 could point to kidney problems, such as renal tubular acidosis (when your kidneys aren't removing enough acids from your blood and into your urine). (webmd.com)
Severe3
- In this case, the cause of ileus was severe hypokalaemia resulting from type-1 renal tubular acidosis. (who.int)
- To our knowledge, the development of Chilaiditi syndrome as a complication of severe hypokalaemia from renal tubular acidosis has not been reported in the English language literature. (who.int)
- Severe Rhabdomyolysis as Presentation of Distal Renal Tubular Acidosis. (ttuhsc.edu)
Autosomal1
- Arthrogryposis renal dysfunction cholestasis syndrome is a rare, apparently globally occurring, autosomal recessive inherited, multisystemic disease with the obligatory symptoms of neurogenic arthrogryposis multiplex congenita, renal tubulopathy and neonatal cholestasis with low activity of gamma glutamyl transferase in serum. (altmeyers.org)
Potassium7
- Rarely, people with renal tubular acidosis with deafness have episodes of hypokalemic paralysis, a condition that causes extreme muscle weakness associated with low levels of potassium in the blood (hypokalemia). (medlineplus.gov)
- Potassium citrate can be useful when the acidosis is accompanied by hypokalemia but should be used cautiously in the presence of kidnery impairment and must be avoided in the presence of hyperkalemia. (medscape.com)
- It is important to recognize distal RTA early as treatment involves prompt correction of acidosis, without which results in futile replacement of potassium. (researchsquare.com)
- Acidosis contributes to this outcome by increasing the filtered load of potassium. (medscape.com)
- Potassium citrate can be used to help treat a kidney stone illness known as renal tubular acidosis. (antiaging-systems.com)
- Renal function evaluation, preferably by serum creatinine, BUN and potassium dosage is recommended before each drug application. (unesp.br)
- Long-term treatment with potassium citrate and renal stones in medullary sponge kidney. (dattaweb.com)
Lactic4
- Lactic acidosis. (medlineplus.gov)
- Lactic acidosis results from a buildup of lactic acid. (medlineplus.gov)
- discontinue if lactic acidosis occurs. (clinicaladvisor.com)
- An increased AG is associated with renal failure, ketoacidosis, lactic acidosis, and ingestion of certain toxins. (medscape.com)
Acidification1
- 3) Higashihara E, Nutahara K, Tago K, Ueno A, Niijima T. Medullary sponge kidney and renal acidification defect. (dattaweb.com)
Nephrogenic1
- It was concluded that amphotericin b provokes lesions in both proximal and distal tubules, inducing type I renal tubular acidosis and nephrogenic Diabetes insipidus in dogs. (unesp.br)
Pathophysiology2
Impairment2
- Hypophosphatemia is secondary to the impairment in proximal tubular reabsorption. (medscape.com)
- May add a thiazolidinedione or use in renal impairment: see full labeling. (clinicaladvisor.com)
Acid6
- As a result, too much acid remains in the blood (called acidosis ). (mountsinai.org)
- The basolateral anion exchanger 1 (AE1) encoded by the SLC4A1 gene (19 coding exons) has the greatest expression abundance in erythrocytes and type A acid-secreting intercalated cells of the renal collecting duct. (preventiongenetics.com)
- Davenport A. Potential adverse effects of replacing high volume hemofiltration exchanges on electrolyte balance and acid-base status using the current commercially available replacement solutions in patients with acute renal failure. (medscape.com)
- Advances in the field of genetic and molecular biology have established modification in understanding the basic renal physiology and acid-base disturbances. (org.in)
- This book contains 11 chapters starting from understanding the systemic and renal regulation of acid-base metabolism to classification of RTA and differences between different RTA types. (org.in)
- Examples include people with renal tubular acidosis and people with problems metabolizing a variety of chemicals including cystine (an amino acid), oxalate, (a salt of an organic acid), and uric acid (as in gout ). (emedicinehealth.com)
Tubules2
- Mutations in the genes encoding WNK1 and WNK4 kinases (WNK1 and WNK4), which regulate ion-transporters on renal tubules, were identified in patients with PHA2. (kegg.jp)
- This extra calcium may be deposited in the renal tubules or in the pelvis to form renal calculus. (doctorbhatia.com)
Symptoms3
- Mutations in the ATP6V1B1 or ATP6V0A4 gene impair the function of the V-ATPase complex and reduce the body's capability to control the pH of the blood and the fluid in the inner ear, resulting in the signs and symptoms of renal tubular acidosis with deafness. (medlineplus.gov)
- Type 1 or distal renal tubular acidosis leads to nephrolithiasis or the formation of kidney stones, apart from causing other symptoms. (kidneycarecentre.in)
- The result can be growth retardation, kidney stones, bone disease and progressive renal failure-symptoms that seem to match some of Tiny Tim's. (nbcnews.com)
20161
- Ilhan O et al (2016) Arthrogryposis-renal tubular dysfunction-cholestasis syndrome: a cause of neonatal cholestasis. (altmeyers.org)
Proximal tubular dysfunction2
- Its presence in distal RTA without other evidence of proximal tubular dysfunction, to the best of our knowledge, has not been reported. (researchsquare.com)
- Proximal tubular dysfunction related to tenofovir in people. (lww.com)
Hyperthyroidism3
- We present a case of acquired hypokalemic periodic paralysis associated with hyperthyroidism and renal tubular acidosis. (elsevier.com)
- Systemic lupus erythematosus and renal tubular acidosis associated with hyperthyroidism. (nel.edu)
- Deng D, Sun L, Xia T, Xu M, Wang Y, Zhang Q. Systemic lupus erythematosus and renal tubular acidosis associated with hyperthyroidism. (nel.edu)
20201
- Am J Physiol Renal Physiol 2020;318:F772-f92. (utsouthwestern.edu)
Clinical7
- Renal tubular acidosis: the clinical entity. (kegg.jp)
- The genetic and clinical spectrum of a large cohort of patients with distal renal tubular acidosis. (medscape.com)
- Clinical features, genetic background, and outcome in infants with urinary tract infection and type IV renal tubular acidosis. (medscape.com)
- Reversing the intracardiac acidosis may help to discriminate between a clinical trial, should be consulted. (cardiacgenetic.com)
- The purpose of this case-control study was to verify the association between single nucleotide polymorphisms (SNPs) in genes encoding drug transporters related to tenofovir disoproxil fumarate (TDF) and proximal renal tubular dysfunction (PRTD), and the association between PRTD and clinical characteristics. (lww.com)
- Huang DG et al (2017) Clinical features and VPS33B mutations in a family affected by arthrogryposis, renal dysfunction, and cholestasis syndrome. (altmeyers.org)
- En: Oxford Textbook of Clinical Nephrology. (dattaweb.com)
Dysfunction-cholestasis2
- Chai M et al (2018) Identification of genes and signaling pathways associated with arthrogryposis-renal dysfunction-cholestasis syndrome using weighted correlation network analysis. (altmeyers.org)
- Moon AT et al (2017) A Novel VPS33B Mutation in a Patient with Arthrogryposis-Renal Dysfunction-Cholestasis Syndrome. (altmeyers.org)
Hyperkalemic1
- Renal tubular acidosis is of four types- type 1 or distal renal tubular acidosis, type 2 or proximal renal tubular acidosis, type 3 or mixed renal tubular acidosis, and type 4 or hyperkalemic renal tubular acidosis. (kidneycarecentre.in)
Disease5
- Renal tubular acidosis (RTA) is a rare disease in children and the incidence is low, i.e., 1:10 6 in general population. (org.in)
- Opportunistic infection in immunosuppressed renal transplant patients with recurrent disease. (ttuhsc.edu)
- Kidney disease (uremia, distal renal tubular acidosis or proximal renal tubular acidosis). (medlineplus.gov)
- In advanced cases of renal disease, the distal acidifying mechanism is also impaired. (medscape.com)
- One theory floating around the Web is that Tiny Tim suffered from renal tubular acidosis (RTA), a kidney disease that makes blood too acidic. (nbcnews.com)
Urine1
- Each nephron consists of two parts: a renal corpuscle (also known as a glomerulus) that filters the blood, and a renal tubule that reabsorbs substances that are needed and eliminates unneeded substances in urine. (medlineplus.gov)
Hyperchloremic Acidosis3
- Sharma S, Hashmi MF, Aggarwal S. Hyperchloremic Acidosis. (medscape.com)
- Toyonaga Y, Kikura M. Hyperchloremic acidosis is associated with acute kidney injury after abdominal surgery. (medscape.com)
- If the cause of a patient's acidosis is not apparent from the history and physical examination findings, the next step is to determine whether hyperchloremic acidosis is present. (medscape.com)
Diagnosis2
- Molecular Diagnosis and Identification of Genetic Variants Underlying Distal Renal Tubular Acidosis in Pakistani Patients Using Whole Exome Sequencing. (medindia.net)
- renal involvement have a diagnosis of acute arthritis. (cardiacgenetic.com)
Diarrhea1
- It has been determined that woods effectively cool air and structures around them the actual situation of diarrhea and renal tubular acidosis. (journalnewsnet.com)
Sodium1
- In conclusion, correction of acidosis in distal RTA should be prioritised to avoid prolonged hypokalemia and significant increase in serum sodium. (researchsquare.com)
20221
- Retrieved on Nov 30, 2022 from https://www.medindia.net/patients/patientinfo/renal-tubular-acidosis.htm. (medindia.net)
Urinary2
- Untreated distal or type 1 renal tubular acidosis often results in hypocitraturia, nephrolithiasis, increased urinary pH, hypercalciuria, and bone abnormalities. (kidneycarecentre.in)
- Renal stone or calculus or lithiasis is one of the most common diseases of the urinary tract. (doctorbhatia.com)
Prevalence1
- Prevalence of distal renal tubular acidosis in patients with calcium phosphate stones. (medscape.com)
Nephrolithiasis1
- There are several factors that contribute to nephrolithiasis or stone formation in distal renal tubular acidosis. (kidneycarecentre.in)
Necrosis2
- The underlying cause of proximal renal tubular necrosis should be corrected if it can be found. (mountsinai.org)
- High parasitemia levels can cause massive hemoglobinuria, acute renal tubular necrosis, and renal failure. (cdc.gov)
Hypokalemia1
- After renal transplantation, we are more likely to encounter hyperkalemia rather than hypokalemia. (koreamed.org)
Type4
- Type I is also called distal renal tubular acidosis . (mountsinai.org)
- This syndrome is called pseudohypoaldosteronism type 2 (PHA2), or Gordon's syndrome, which results in a renal aldosterone resistance. (kegg.jp)
- A case of fulminant type 1 diabetes associated with acute renal failure. (nel.edu)
- Deng D, Xia L, Chen M, Xu M, Wang Y, Wang C. A case of fulminant type 1 diabetes associated with acute renal failure. (nel.edu)
Calcium phosphate1
- The histopathological features of kidney stones formed due to distal renal tubular acidosis show calcium phosphate deposition on the Bellini ducts and inner medullary layer, which leads to fibrosis. (kidneycarecentre.in)
20171
- Material y métodos: Se realizó un estudio retrospectivo, observacional de corte, entre los años 2000 y 2017 en donde se estudiaron 37 pacientes con riñón en esponja y litiasis renal (26 mujeres y 11 hombres) de 37.3 ± 13.2 años. (dattaweb.com)
Tubulointerstitial2
- It is also often seen in a number of tubulointerstitial renal diseases. (kegg.jp)
- Tubulointerstitial nephritis and renal tubular acidosis of different types are rare but important complications of primary biliary cirrhosis. (thieme-connect.de)
Mutations1
- Renal tubular acidosis with deafness is caused by mutations in the ATP6V1B1 or ATP6V0A4 gene. (medlineplus.gov)
Calculi2
- Chronic hypercalcemia may result in the formation of renal calculi. (clevelandclinicmeded.com)
- Renal calculi can vary in size from as small as grains of sand to as large as a golf ball. (doctorbhatia.com)
Chilaiditi1
- We report the first case of Chilaiditi syndrome caused by adynamic ileus result-ing from hypokalaemia induced by renal tubular acidosis. (who.int)
Physiology1
- Cellular physiology of the renal H+ATPase. (medscape.com)